The authors describe the natural history and the beginning of pervasive dev
elopmental disorders (PDD) by the observation of home movies. The sample is
composed of 26 children aged 18 months to 5 or 6 years at the first consul
tation. The methodology used in the observation of home movies includes: (7
) application of the ERC-A-III scale for recognizing the precocious symptom
s of autism; (2) analysis of the coming out and coming off of social, emoti
onal and cognitive competences. The authors, starting from the analysis of
these data, describe three kinds of onset and courses of PDD: progressive,
regressive and fluctuating. The authors present some conclusive considerati
ons on the different age of PDD onset in home movies, in anamnestic reconst
ruction and in recall for diagnosis. Copyright (C) 1999 S. Karger AG, Basel
.